Get Appointed

Thank you for the opportunity to earn your business. Jencap provides retail agents with carrier exclusivity, underwriting mastery, and unparalleled customer service. Regardless of the class of business you need covered, Jencap has product solutions for any complexity.

Please complete our online form to get appointed with Jencap:

"*" indicates required fields

Agency Name:*
Contact Email:*
Contact Name:*
First Name Last Name
Agency Address:*
Street Address Line 1
Street Address Line 2
City
Alabama, Alaska, American Samoa, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Guam, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Northern Mariana Islands, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, U.S. Virgin Islands, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, Armed Forces Americas, Armed Forces Europe, Armed Forces Pacific
State
ZIP Code

Best Contact Phone Number:*
Have you recently had direct contact with a Jencap representative regarding a risk or an agency appointment?*

  • Yes
  • No

Please provide your Jencap contact, to ensure speedy and efficient routing of your appointment request:*
What best describes your need for an appointment with Jencap? Please select all that apply.*

  • Binding Authority Business (Small to Mid-Sized P&C Accounts)
  • Brokerage
  • Exclusive Programs
  • Other

Please select all Binding Authority categories that apply.*

  • Property & Casualty
  • Transportation & Garage
  • Environmental

Please select all Brokerage categories that apply.*

  • Property
  • Casualty
  • Professional Lines
  • Transportation / Garage
  • Workers' Compensation
  • Environmental / Energy
  • Personal Lines

Please select all Exclusive Programs categories that apply.*

  • Adult Residential Facilities
  • Agribusiness
  • Animal Mortality
  • Architect & Engineers Professional
  • Artisan Contractors
  • Cannabis Site Pollution Liability
  • Coastal Condominiums
  • Commercial Self-Storage
  • Construction Managers
  • Cyber
  • Environmental and Pollution
  • Equipment Breakdown
  • Fine Art and Collectibles
  • Hired and Non-Owned Auto for Food/Cannabis Couriers
  • Landscaping Contractors
  • Lawyers Professional Liability
  • Luxury Home Builders & Remodelers
  • Medical Stop-Loss Insurance
  • Miscellaneous Professional Liability
  • Nonprofit and Social Service Organizations
  • NY Contractors Liability
  • Property Owners' Association Liability
  • Self-Storage Tenant Insurance
  • Self-Storage Workers' Compensation
  • Specialty Trade Contractors (with Action Over in NY)
  • Sports and Activity Accident Insurance
  • Wind/Hail Deductible Buyback Program

Please describe your need for appointment with Jencap further.*

Important notice. Completion of this form does not constitute an appointment by a Jencap office. Your agency will be contacted after careful review of your submission, and if approved, your agency will be assigned a unique producer identification number. Binding authority is not extended to any agent or agency.